Campbell, Matthew Gibson

Campbell, Matthew Gibson is an sole proprietor health care provider with primary practice located at 22 Lawrence Ave Ste 304 , Smithtown NY 11787-3619. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Campbell, Matthew Gibson can be contacted via phone (631) 361-6858.

Contact Information

Primary practice address
22 Lawrence Ave Ste 304 Smithtown NY 11787-3619
Phone: (631) 361-6858
Fax: (631) 224-4992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9479 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9479 New York

Profile Details

NPI number 1841496270
LBN Legal business name Campbell, Matthew Gibson
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Dec 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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